| Doctor Name: | DR. JANE HILLIS THAYER |
| NPI Number: | 1902924459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., CLINICAL PSYC |
| License Number: | PY7593PR |
| Business Practice Address: | 24 Box Turtle Lane Oak Bluffs, MA - 02557 |
| Business Phone Number: | 5086933490 |
| Business Fax Number: | 5086938210 |
| Mailing Address: | Rr 1 Box 476h, EDGARTOWN |
| State: | MA |
| Postal Code: | 025399752 |
| Phone Number: | 5086933490 |
| Fax Number: | 5086938210 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7593PR |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |